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Individual

SHANNA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
U

Contact information

Practice address
538 MAY ST, WAUKEGAN, IL 60085-7445
(877) 909-3824
Mailing address
12436 FM 1960 RD W STE 555, HOUSTON, TX 77065-4809
(877) 793-6020

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
374U00000X
Home Health Aide

Other

Enumeration date
05/25/2024
Last updated
05/25/2024
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